Medicare & Medicaid

America’s Physician Groups publish 7 key reasons why the national spending plan is bad for health care.

From ghost patients and fake genetic tests to DME laundering rings and opioid pill mills, the DOJ’s 2025 health care fraud crackdown paints a sobering picture of a system under attack — and a federal response gaining traction.

Out-of-pocket caps protect high spenders, but many others could see their drug costs rise.

Trustees project Medicare hospital insurance trust fund will be depleted in 2033, three years earlier than expected.

Annual report puts depletion three years ahead of projected schedule in 2024 report.

AMGA survey finds member organizations anticipate major changes if Congress, President Trump slash Medicaid.

Senate Finance Committee publishes language that prompts new round of analysis, warnings for physicians, rural hospitals.

The Resident Physician Shortage Reduction Act of 2025 would add 14,000 Medicare-support training slots over seven years and codify rural residency support.

Reimbursement based on Medicare Economics Index will have a cost but ensure beneficiary access, commission says.

Physicians in supported, full-risk VBC models saw more new Traditional Medicare patients and kept panels open longer.

CMS Innovation Center leader outlines strategy for Making America Healthy Again.

Multi-cancer early detection screenings could get coverage, once approved by FDA.

A discussion with Duke University's Mark McClellan, M.D., Ph.D., about why value-based care hasn’t been adopted more quickly

Speculation mounts on potential changes and timing for federal spending plan already approved in House of Representatives.

MedPAC is a key adviser to Congress on Medicare pay for physicians.

Aledade and ACOs press CMS to fix benchmarking error that could slash shared savings

Balancing the ledger and the mission with up-front payment solutions strengthens access and revenue.

AAFP board chair details potential effects in critique of federal spending plan.

Responses focus on health care as House approves One Big Beautiful Bill federal spending legislation.

HHS has made changes, but lawmakers want prior auth procedures codified in law.

As Trump and Congress debate the Big Beautiful Bill, public health, medical research, and Medicaid could ‘Make America Healthy Again’ — if the nation pays for them.

How do hospice services for end of life align with value-based care? Here’s what primary care physicians should know.

A new study in JAMA Health Forum finds women primary care physicians earn more under value-based models — while delivering better outcomes and fewer hospital visits.

House Budget Committee takes up debate and AMGA publishes projections due to Medicaid cuts in One Big Beautiful Bill Act.

Congressional committees review spending with Health and Human Services Department leader.

Public health experts react to HHS Secretary Robert F. Kennedy’s testimony of budget in House of Representatives.

Robert F. Kennedy Jr. testifies about HHS budget before House Appropriations Committee.

House committee begins deliberations on federal budget reconciliation bill, which includes Medicaid.

Energy & Commerce Chair Rep. Brett Guthrie spells out need for changes to Medicaid.

Three House committee leaders speak out on spending plan up for debate today.